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Urology and Kidney     Date: 15 Jun 2026

Kidney Stones: Causes, Symptoms, Treatment Options, and Prevention Tips

Kidney stones are hard, crystal-like masses that form from minerals, acids, and salts inside the urinary tract. They may be very small, like a grain of sand, or rarely, larger than a golf ball. They are also called renal calculi or nephrolithiasis.

Many small stones pass through urine on their own, but larger stones may get stuck in the ureter, block urine flow, cause severe pain, bleeding, or affect kidney function. Some stones may take up to three weeks to pass naturally. 

How Common Are Kidney Stones?

Around 1 in 10 people may develop kidney stones during their lifetime. They are more common in men, especially in their 30s and 40s. 

Symptoms of Kidney Stones

The main symptom is pain in the lower back, belly, or side. The pain may spread from the side toward the groin and can come in waves.

Other symptoms include:

SymptomMeaning
Nausea and vomitingMay happen due to severe pain
Blood in urineUrine may appear pink, red or brown
Pain while urinatingBurning or discomfort during urination
Inability to urinateCan indicate blockage
Frequent urge to urinateFeeling the need to pee often
Fever or chillsMay indicate infection
Cloudy or foul-smelling urinePossible infection or urinary issue

Small stones may sometimes cause no symptoms. 

Causes of Kidney Stones

Kidney stones form when urine contains too many minerals, salts, or acids and not enough fluid. These particles can stick together and form crystals. Over time, crystals may grow into stones.

Common substances involved include:

SubstanceRelated Stone Type
CalciumCalcium oxalate/calcium phosphate stones
OxalateCalcium oxalate stones
Uric acidUric acid stones
CystineCystine stones
Infection-related mineralsStruvite stones

Types of Kidney Stones

1. Calcium Oxalate and Calcium Phosphate Stones

These are the most common types. Calcium oxalate stones may form when a person does not drink enough fluids or consumes high-oxalate or low-calcium foods.

2. Uric Acid Stones

These may form due to high intake of animal protein such as beef, poultry, pork, eggs, and fish.

3. Struvite Stones

These are linked with bacterial infections. Repeated infections can sometimes lead to very large stones called staghorn calculi, which often require surgical removal.

4. Cystine Stones

These are caused by an inherited condition called cystinuria, where cystine builds up in the urine. 

Risk Factors

A person may have a higher risk of kidney stones if they:

Risk Factor
Do not drink enough fluids
Eat too much meat or protein-rich food
Consume foods high in sodium or sugar
Take vitamin C supplements
Have a family history of kidney stones
Have urinary tract blockage
Have had stomach or intestinal surgery
Take certain medicines, such as some diuretics, calcium-based antacids or anti-seizure medicines
Have certain medical conditions

Medical Conditions That Increase Risk

Clearmedi lists several conditions that may increase kidney stone risk, including diabetes, gout, high blood pressure, obesity, inflammatory bowel disease, osteoporosis, kidney cysts, parathyroid disease and cystinuria.

Possible Complications

Kidney stones can increase the risk of:

ComplicationWhat It Means
HydronephrosisUrine backs up and causes kidney swelling
Kidney infectionInfection in the kidney
Acute kidney injurySudden kidney function problem, sometimes reversible
Frequent UTIsRepeated urinary tract infections
Chronic kidney diseaseLong-term kidney damage risk

Diagnosis

Doctors may diagnose kidney stones using:

TestPurpose
Urine testChecks for blood, crystals, and infection
ImagingX-ray, CT scan, or ultrasound to locate stones
Blood testsChecks kidney function, infection, and calcium levels

These tests help identify the size, number, shape, and location of stones.

Treatment Options

Treatment depends on stone size, location, symptoms, and whether there is infection or blockage.

For Small Stones

Small stones may pass naturally. Doctors may recommend monitoring, drinking fluids, and using medicines for pain, nausea, or to help the ureter relax.

Medicines may include:

Medicine TypePurpose
Ureter relaxersHelp the stone pass more easily
Pain medicinesManage severe discomfort
Anti-nausea medicinesControl nausea and vomiting

Clearmedi mentions tamsulosin and nifedipine as examples of medicines that may help relax the ureter.

For Larger or Blocked Stones

Procedures may be needed if the stone cannot pass, causes blockage, or causes complications.

ProcedureHow It Works
Shockwave lithotripsyUses shockwaves to break stones into smaller pieces
UreteroscopyA scope is inserted through the urinary tract to break or remove the stone
Percutaneous nephrolithotomyA tube is inserted through a small back incision to remove stones from the kidney
Laparoscopic surgerySmall incision surgery to remove the stone; open surgery is rare

Can Kidney Stones Pass on Their Own?

Yes. Clearmedi states that around 80% of kidney stones may pass naturally. Stones smaller than 4 mm may pass within one to two weeks. Larger stones may take two to three weeks. Once a stone reaches the bladder, it often passes within a few days. 

Medical evaluation is important because stones can cause blockage or complications. Follow-up is recommended if a stone does not pass within four to six weeks. 

Outlook / Prognosis

Many small stones pass without procedures, but larger stones or stones blocking urine flow may need medical treatment. People who have had kidney stones are more likely to get them again in the future. Prevention may require diet changes and sometimes medicine. 

Prevention Tips

To reduce the risk of kidney stones, doctors may recommend:

Prevention Method
Drink plenty of water
Limit animal protein
Limit high-sugar and high-sodium foods
Limit high-oxalate foods if prone to calcium oxalate stones
Maintain a healthy weight
Eat calcium-rich foods instead of relying on calcium supplements
Take preventive medicines if prescribed

High-oxalate foods mentioned include spinach, rhubarb, wheat bran, tree nuts and peanuts. 

When to See a Doctor

A person should see a healthcare provider if they have symptoms of kidney stones. A doctor can check the stone’s size and location and help prevent complications.

Emergency care is recommended if the pain becomes unbearable or if severe nausea/vomiting occurs. 

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